Vera Maria da Rocha

Fatores Associados à Prevalência de Sintomas Osteomusculares em Professores

Objetivo Determinar a prevalencia de sintomas osteomusculares nos professores da rede municipal de Natal/RN, verificando a existencia de associacao entre as variaveis socioeconomicas, ocupacionais e de saude com a presenca dessa sintomatologia. Materiais e Metodos Trata-se de uma pesquisa descritiva com corte transversal, que teve como amostra 242 docentes da rede basica. Para a avaliacao dos sintomas osteomusculares foi utilizado o questionario Nordico. A analise estatistica utilizou inicialmente procedimentos descritivos e o teste de Qui-Quadrado, e numa segunda etapa a analise de regresso logistica multivariada, com nivel de significância de 5 %. Resultados A prevalencia da referida sintomatologia, considerando os ultimos 12 meses, foi de 93 % entre os investigados. Foi encontrada associacao estatisticamente significativa entre o sexo feminino (p=0,021) e pratica inadequada de atividade fisica (p=0,037) com a presenca de sintomas osteomusculares. Conclusao A sintomatologia em questao pode estar pode estar comprometendo a qualidade de vida e o estado de saude dos professores.

A concepção sobre saúde do escolar entre professores do ensino fundamental ( 1ª a 4ª séries )

The study investigated the attitudes of early elementary school teachers towards student health and characterized their training in this area. Using qualitative methodology, a sample of forty-five teachers responded to a semi-structured questionnaire, subsequently analyzed in accord with the proposed topical approach. Findings showed that 77.7% of the teachers had studied health content, while 33.33% encountered problems working with this topic, chiefly because they lacked suitable teaching material. Further, 75.55% had taken part in training related to Brazils National Curriculum Parameters and the transversal theme of health. When asked about the importance of addressing the health topic, 28.33% referred to the need to take care of ones health. In conclusion, early elementary teachers need specific training and greater support in dealing with the topic.

A humanização e a formação médica na perspectiva dos estudantes de medicina da UFRN - Natal - RN - Brasil

This study used a qualitative approach to understand the perspective of medical students at the Federal University in Rio Grande do Norte, Brazil, concerning humanization in the context of medical training. A focus group technique was used, involving a multidisciplinary team from anthropology, psychology, and medicine that studied two groups of nine students each from the last year of medical school. Data were submitted to categorical thematic content analysis, revealing three categories: the student-patient, teaching-learning, and student-professor relationships. The first category showed that the students experience of contact with patients is essential for constructing a humanized professional identity. In the second category, professors with no training in inherent pedagogical practices, plus the dichotomy between theory and practice, hinder the autonomous formation of knowledge and a comprehensive view of the individual. Two opposing sub-categories emerged from the third category (model professor and asymmetric relations) that reflect the importance of the professors ethical-humanist stance rather than an authoritarian attitude in the construction of the students professional identity. These data highlight aspects of medical training that can substantiate a discussion of humanization in the context of the new curricular guidelines.

Formas de enfrentamento da AIDS: opinião de mães de crianças soropositivas

O estudo teve como objetivo identificar as estrategias de enfrentamento, utilizadas por maes de criancas soropositivas, para melhor conviverem com a doenca dos filhos. O metodo utilizado foi a pesquisa qualitativa descritiva. As falas foram retiradas de trinta e tres entrevistas estruturadas com mulheres soropositivas voluntarias, inscritas no ambulatorio de um hospital publico de referencia para o tratamento da AIDS em Natal, RN. Utilizou-se a tecnica de analise de conteudo, em especial, a tematica. Da analise, emergiram categorias prevalentes em relacao as formas de enfrentamento da AIDS, ou seja: superprotecao e medo, doacao, negacao e subestimacao do HIV, ocultacao da doenca, resignacao, religiao e esperanca. Este estudo revelou que, apesar dos limites e barreiras impostas pela AIDS, os familiares desenvolvem estrategias que possibilitam enfrentar o cotidiano e conviver melhor com essa experiencia.The research aims at identifying strategies of coping with AIDS used by mothers of HIV positive children to live better with their children’s disease. The method used was a descriptive qualitative study. Thirtythree structured interviews were conducted with HIV positive women voluntaries and registered as users in the clinic of the public hospital of reference for the treatment of AIDS in Natal/RN. For data analysis, the method used was thematic content analysis. From the analysis, prevalent categories regarding forms of facing AIDS came up, they were: overprotection and fear; donation; hope; religious belief; underestimation of HIV; hiding the diagnosis; and resignation. This study shows that despite AIDS limitations and barriers, relatives develop strategies that make it possible to face every day problems and live better with it.The research aims at identifying strategies of coping with AIDS used by mothers of HIV positive children to live better with their childrens disease. The method used was a descriptive qualitative study. Thirty-three structured interviews were conducted with HIV positive women voluntaries and registered as users in the clinic of the public hospital of reference for the treatment of AIDS in Natal/RN. For data analysis, the method used was thematic content analysis. From the analysis, prevalent categories regarding forms of facing AIDS came up, they were: overprotection and fear; donation; hope; religious belief; underestimation of HIV; hiding the diagnosis; and resignation. This study shows that despite AIDS limitations and barriers, relatives develop strategies that make it possible to face every day problems and live better with it.

FORMAS DE ENFRENTAR EL SIDA: OPINION DE MADRES CON NIÑOS SEROPOSITIVOS 1

O estudo teve como objetivo identificar as estrategias de enfrentamento, utilizadas por maes de criancas soropositivas, para melhor conviverem com a doenca dos filhos. O metodo utilizado foi a pesquisa qualitativa descritiva. As falas foram retiradas de trinta e tres entrevistas estruturadas com mulheres soropositivas voluntarias, inscritas no ambulatorio de um hospital publico de referencia para o tratamento da AIDS em Natal, RN. Utilizou-se a tecnica de analise de conteudo, em especial, a tematica. Da analise, emergiram categorias prevalentes em relacao as formas de enfrentamento da AIDS, ou seja: superprotecao e medo, doacao, negacao e subestimacao do HIV, ocultacao da doenca, resignacao, religiao e esperanca. Este estudo revelou que, apesar dos limites e barreiras impostas pela AIDS, os familiares desenvolvem estrategias que possibilitam enfrentar o cotidiano e conviver melhor com essa experiencia.The research aims at identifying strategies of coping with AIDS used by mothers of HIV positive children to live better with their children’s disease. The method used was a descriptive qualitative study. Thirtythree structured interviews were conducted with HIV positive women voluntaries and registered as users in the clinic of the public hospital of reference for the treatment of AIDS in Natal/RN. For data analysis, the method used was thematic content analysis. From the analysis, prevalent categories regarding forms of facing AIDS came up, they were: overprotection and fear; donation; hope; religious belief; underestimation of HIV; hiding the diagnosis; and resignation. This study shows that despite AIDS limitations and barriers, relatives develop strategies that make it possible to face every day problems and live better with it.The research aims at identifying strategies of coping with AIDS used by mothers of HIV positive children to live better with their childrens disease. The method used was a descriptive qualitative study. Thirty-three structured interviews were conducted with HIV positive women voluntaries and registered as users in the clinic of the public hospital of reference for the treatment of AIDS in Natal/RN. For data analysis, the method used was thematic content analysis. From the analysis, prevalent categories regarding forms of facing AIDS came up, they were: overprotection and fear; donation; hope; religious belief; underestimation of HIV; hiding the diagnosis; and resignation. This study shows that despite AIDS limitations and barriers, relatives develop strategies that make it possible to face every day problems and live better with it.

Qualitative and quantitative aspects of pain in lateral posterior thoracotomy patients

Descriptive study that proposed to compare the qualitative and quantitative behavior of the pain in lateral posterior thoracotomy patients. The sample was consisted of 18 individuals with an average age of 44 years. The instruments used were physiotherapy evaluation form, numerical pain scale and McGill questionnaire for pain. The pain on the numerical pain scale was considered moderate(5) for both sexes. The descriptors of the McGill questionnaire choosen by the patients with higher frequency were: in the sensorial component, beat4, pointed1, shock2, final and pull2; in the afetive component, tired1, bored1, punishald1 and miserable1 and in the evaluative component was flat. The characteristics of pain in the sensorial group were more evidents on male group. No significant statistical difeferences were observed between quantitative answers concerning pain between the men and women. On the qualitative aspects , was observed an predominancy of the same descriptors of pain in afetive component for both sexes. Pain intensity was categorized as moderate. No significant statistical difference were observed between the pain on the post-operatory lateral posterior thoracotomy. These data demonstrate a necessity for an analysis with a larger study group.Descriptive study that proposed to compare the qualitative and quantitative behavior of the pain in lateral posterior thoracotomy patients. The sample was consisted of 18 individuals with an average age of 44 years. The instruments used were physiotherapy evaluation form, numerical pain scale and McGill questionnaire for pain. The pain on the numerical pain scale was considered moderate(5) for both sexes. The descriptors of the McGill questionnaire choosen by the patients with higher frequency were: in the sensorial component, beat4, pointed1, shock2, final and pull2; in the afetive component, tired1, bored1, punishald1 and miserable1 and in the evaluative component was flat. The characteristics of pain in the sensorial group were more evidents on male group. No significant statistical difeferences were observed between quantitative answers concerning pain between the men and women. On the qualitative aspects , was observed an predominancy of the same descriptors of pain in afetive component for both sexes. Pain intensity was categorized as moderate. No significant statistical difference were observed between the pain on the post-operatory lateral posterior thoracotomy. These data demonstrate a necessity for an analysis with a larger study group.

Comportamiento del dolor y el uso de la estimulación eléctrica nerviosa transcutánea en el postoperatorio de cirugías torácicas

Resumen El presente trabajo se caracteriza como un estudio–caso; su objetivo es investigar la evolucion de la sintomatologia dolorosa postoperatoria en pacientes sometidos a cirugia toracica utilizando la estimulacion electrica nerviosa transcutanea (TENS) como forma analgesica. La muestra fue constituida por cinco individuos, tres de sexo masculino con edad media de 39 anos y dos del sexo femenino con edad media de 45 anos, los cuales se sometieron a cirugia toracica (toracotomia posterolateral). Se utilizo como instrumento de evaluacion del dolor una escala numerica y el cuestionario McGill (1) y se procedio a una evaluacion preoperatoria, acompanamiento quirurgico, acompanamiento postoperatorio inmediato (PO) con evaluacion del dolor, aplicacion de la TENS, acompanamiento durante la intervencion fisioterapeutica y reevaluacion del dolor. La TENS se mostro eficiente en la reeducacion de la sintomatologia dolorosa que presentaban los pacientes.

Factors associated with teachers' osteomuscular symptom prevalence

Objetivo Determinar a prevalencia de sintomas osteomusculares nos professores da rede municipal de Natal/RN, verificando a existencia de associacao entre as variaveis socioeconomicas, ocupacionais e de saude com a presenca dessa sintomatologia. Materiais e Metodos Trata-se de uma pesquisa descritiva com corte transversal, que teve como amostra 242 docentes da rede basica. Para a avaliacao dos sintomas osteomusculares foi utilizado o questionario Nordico. A analise estatistica utilizou inicialmente procedimentos descritivos e o teste de Qui-Quadrado, e numa segunda etapa a analise de regresso logistica multivariada, com nivel de significância de 5 %. Resultados A prevalencia da referida sintomatologia, considerando os ultimos 12 meses, foi de 93 % entre os investigados. Foi encontrada associacao estatisticamente significativa entre o sexo feminino (p=0,021) e pratica inadequada de atividade fisica (p=0,037) com a presenca de sintomas osteomusculares. Conclusao A sintomatologia em questao pode estar pode estar comprometendo a qualidade de vida e o estado de saude dos professores.

Factores asociados a la prevalencia de síntomas osteomusculares en profesores

Objetivo Determinar a prevalencia de sintomas osteomusculares nos professores da rede municipal de Natal/RN, verificando a existencia de associacao entre as variaveis socioeconomicas, ocupacionais e de saude com a presenca dessa sintomatologia. Materiais e Metodos Trata-se de uma pesquisa descritiva com corte transversal, que teve como amostra 242 docentes da rede basica. Para a avaliacao dos sintomas osteomusculares foi utilizado o questionario Nordico. A analise estatistica utilizou inicialmente procedimentos descritivos e o teste de Qui-Quadrado, e numa segunda etapa a analise de regresso logistica multivariada, com nivel de significância de 5 %. Resultados A prevalencia da referida sintomatologia, considerando os ultimos 12 meses, foi de 93 % entre os investigados. Foi encontrada associacao estatisticamente significativa entre o sexo feminino (p=0,021) e pratica inadequada de atividade fisica (p=0,037) com a presenca de sintomas osteomusculares. Conclusao A sintomatologia em questao pode estar pode estar comprometendo a qualidade de vida e o estado de saude dos professores.

The impact of wheelchair basketball on HDL-cholesterol levels in women with spinal cord injury

O proposito do presente estudo foi objetivo avaliar o impacto da pratica de basquetebol em cadeira de rodassobre o perfi l lipidico de pacientes paraplegicos do sexo feminino. Foram avaliados os niveis sericos da HDL-C, da LDL-C e do colesterol total (CT) de dois grupos atendidos num programa de reabilitacao. Um grupo foi formado por pacientes praticantes de basquetebol em CR (grupo PR), (n=4) e o outro por suas congeneres paraplegicas nao praticantes (NPR), (n=8). Todas as pacientes foram acometidas por LM. Duas coletas foram realizadas para cada grupo. O intervalo medio entre as coletas foi de 11 meses para o grupo PR (n=4) e de 8 meses para o grupo NPR (n=8). A atividade do grupo PR teve duracao semanal media de 130 minutos. O teste t de Student foi utilizado para avaliar as variaveis. Um valor de p≤0,05 foi considerado significante. Os valores iniciais do HDL-C e das relacoes CT/ HDL-C e LDL-C/HDL-C entre os grupos PR e NPR nao apresentaram diferencas signifi cativas (p>0,05). Na segunda medicao, comparando os grupos PR e NPR, os niveis sericos de HDL-C do grupo PR mostraram-se significativamente mais elevados (p≤ 0,01). Pode-se concluir que a atividade semanal de basquetebol em cadeira de rodas foi eficaz na melhora do perfil lipidico das pacientes paraplegicas e podem reduzir o risco de doenca cardiovascular. Esta melhora pode ter sido mediada pela adocao de um maior nivel de atividade fisica diaria por parte das praticantes... The objective of this study was to Assess the impact of wheelchair basketball (WB) on the lipid profi le of female paraplegic patients. High-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and total cholesterol (TC) serum levels from two groups were assessed. Both groups were enrolled in a rehabilitation program (RP). One group comprised patients who played WB (P group), (n=4) and another group was made up of patients who did not play (NP), (n=8). All patients enrolled had spinal cord injuries (SCI). Two blood samples were performed for each group. The mean interval between these samples was 11 months in the P group and 8 months to the NP group. The mean weekly duration of activity in P group was 130 minutes. Students t test and linear regression methods were used for statistical analysis. A p-value ≤ 0.05 was considered statistically signifi cant. The HDL-C, TC/HDL-C and LDL-C/HDL-C baseline values exhibited no signifi cant differences between the P and NP groups (p>0.05). In the second sample, after taking part in WB, comparing the two measurements, the mean HDL-C level in group P had increased signifi cantly (p≤0.01), by 27.42%. Itwas conclude that weekly WB activity was effective for improving the lipid profi le test results in paraplegic patients and may reduce cardiovascular disease risk. This improvement could have been mediated by the adoption of a higher level of daily physical activity by those exercising...